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Socioeconomic determinants of the surgical treatment of colorectal liver metastases.
Am J Surg ; 2020 Feb 21.
Artigo em Inglês | MEDLINE | ID: mdl-32107013
ABSTRACT

OBJECTIVE:

We hypothesized that differences in resection rates of colorectal liver metastases exist based on socioeconomic status (SES) inequalities.

METHODS:

The NCDB was utilized to study patients of different median household income diagnosed with colon adenocarcinoma from 2010 to 2015.

RESULTS:

A total of 21,258 patients met inclusion criteria, of whom 3,587 (16.9%) underwent metastasectomy. Patients of the highest income quartile were more likely to undergo metastasectomy compared to the lowest quartile (OR 1.20, CI 1.07-1.37, p = 0.003). Overall, patients in the highest income quartile had a median OS of 17.1 months compared with 13.0 months for the lowest quartile (HR 0.85, CI 0.81-0.90, p < 0.001). While metastasectomy was associated with improved OS across all groups, the disparity by income quartile widened (29.2 vs. 22.0 months, respectively; HR 0.51, CI 0.49-0.54, p < 0.001).

CONCLUSION:

Higher income patients were more likely to undergo metastasectomy compared with lower income patients and were associated with longer OS.

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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Idioma: Inglês Ano de publicação: 2020 Tipo de documento: Artigo País de afiliação: Estados Unidos